Adventist Health Selma
,
Adventist Health Selma. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN058617
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Immunodiffusion NesLab testCPT 86329Hospital-published line item$10cashGross $53
- Complement Fixation EachLab testCPT 86171Hospital-published line item$10cashGross $53
- Ntrprof ph1/ntrnet/ehr 5/>ProcedureCPT 99451Hospital-published line item$10cashGross $53
- Urinalysis Nonauto Without ScopeLab testCPT 81002Hospital-published line item$10cashGross $53
- Medical Services After HrsProcedureCPT 99050Hospital-published line item$10cashGross $54
- Assay Of CyanideLab testCPT 82600Hospital-published line item$10cashGross $54
- Infusion, Normal Saline Solution, 250 CcDrugHCPCS J7050Hospital-published line item$10cashGross $54
- Cytopath Smear Otherapeutic SourceLab testCPT 88161Hospital-published line item$10cashGross $55
- Xtrnl ECG rec<48 Hr R&iProcedureCPT 93227Hospital-published line item$10cashGross $55
- Antb Borrelia Burgdorferi Lyme DiseaseLab testCPT 86618Hospital-published line item$10cashGross $55
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Immunodiffusion Nes Lab testCPT 86329Hospital-published line item | $10 | $53 |
Complement Fixation Each Lab testCPT 86171Hospital-published line item | $10 | $53 |
Ntrprof ph1/ntrnet/ehr 5/> ProcedureCPT 99451Hospital-published line item | $10 | $53 |
Urinalysis Nonauto Without Scope Lab testCPT 81002Hospital-published line item | $10 | $53 |
Medical Services After Hrs ProcedureCPT 99050Hospital-published line item | $10 | $54 |
Assay Of Cyanide Lab testCPT 82600Hospital-published line item | $10 | $54 |
Infusion, Normal Saline Solution, 250 Cc DrugHCPCS J7050Hospital-published line item | $10 | $54 |
Cytopath Smear Otherapeutic Source Lab testCPT 88161Hospital-published line item | $10 | $55 |
Xtrnl ECG rec<48 Hr R&i ProcedureCPT 93227Hospital-published line item | $10 | $55 |
Antb Borrelia Burgdorferi Lyme Disease Lab testCPT 86618Hospital-published line item | $10 | $55 |
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